Propuesta de sistema innovador de comunicación digital utilizando IoT para equipo biomédico de monitoreo de pacientes: de interés sector salud pública / Innovative digital communication system proposal using IoT in biomedical equipment for patient monitoring: interest in public health sector

La presente propuesta de diseño busca la interoperabilidad de datos en salud por medio de la integración de un sistema de comunicación a equipos especializados, utilizando las TI (Tecnologías de la Información) y el IoT (Internet de las Cosas) en los equipos biomédicos especializados o monitor que está siendo utilizado actualmente en los centros hospitalarios público a nivel nacional para la medición de signos vitales, con el objetivo de poder brindar una atención sanitaria a pacientes con padecimientos médicos y que necesitan de una constante supervisión y vigilancia. En los centros hospitalarios se cuenta con equipo biomédico especializado que carece de dichas funcionalidades. Esto repercute u obliga al responsable especialista a tener que estar frente al monitor y paciente para poder observar las mediciones o lecturas que presenta un paciente.

This design proposal seeks the interoperability of health data through the integration of a communication system to specialized equipment, using IT (Information Technology) and IoT (Internet of Things) in specialized biomedical equipment or monitor that is currently being used in public hospitals nationwide for the measurement of vital signs, in order to provide health care to patients with medical conditions and who need constant surveillance. Hospitals have specialized biomedical equipment that lacks these functionalities. This forces the responsible specialist to have to be in front of the monitor and the patient to be able to observe the measurements or readings that a patient presents.

Hospital adoption of multiple health information exchange approaches and information accessibility.

OBJECTIVE: Hospital engagement in electronic health information exchange (HIE) has increased over recent years. We aimed to 1) determine the change in adoption of 3 types of information exchange: secure messaging, provider portals, and use of an HIE; and 2) to assess if growth in each approach corresponded to increased ability to access and integrate patient information from outside providers. METHODS: Panel analysis of all nonfederal, acute care hospitals in the United States using hospital- and year-fixed effects. The sample consisted of 1917 hospitals that responded to the American Hospital Association Information Technology Supplement every year from 2014 to 2016. RESULTS: Adoption of each approach increased by 9-15 percentage points over the study period. The average number of HIE approaches used by each hospital increased from 1.0 to 1.4. Adoption of each approach was associated with increased likelihood that providers routinely had necessary outside information of 4.2-12.7 percentage points and 4.5-13.3 percentage points increase in information integration. Secure messaging was associated with the largest increase in both. Adoption of 1 approach increased the likelihood of having outside information by 10.3 percentage points, while adopting a second approach further increased the likelihood by 9.5 percentage points. Trends in number of approaches and integration were similar. DISCUSSION/CONCLUSION: No single HIE tool provided high levels of usable, integrated health information. Instead, hospitals benefited from adopting multiple tools. Policy initiatives that reduce the complexity of enabling high value HIE could result in broader adoption of HIE and use of information to inform care.